生大黄联合芒硝外敷治疗急性胰腺炎腹胀护理研究

Nursing Study on External Application of Raw Radix et Rhizoma Rhei Combined with Natrii Sulfas for Acute Pancreatitis Complicated with Abdominal Distension

目的:观察生大黄联合芒硝外敷治疗急性胰腺炎腹胀的护理效果。方法:将89例急性胰腺炎患者,依据随机数字表法将其分为2组,对照组44例予以常规对症治疗,观察组45例在对照组的基础上予以生大黄联合芒硝外敷治疗。对比2组干预前后腹胀积分、腹内压变化情况以及干预后腹痛缓解时间,肠鸣音、排气恢复时间,肛门首次排便和平均住院时间。结果:观察组治疗1 d、7 d及14 d,腹胀积分低于对照组,差异有统计学意义(P<0.05)。观察组治疗1 d、7 d及14 d,腹内压低于对照组,差异有统计学意义(P<0.05)。观察组干预后,腹痛缓解时间、肠鸣音恢复时间、排气恢复时间、肛门首次排便时间及平均住院时间低于对照组,差异有统计学意义(P<0.05)。结论:生大黄联合芒硝外敷及护理可以有效改善急性胰腺炎患者腹胀、腹痛症状,降低腹内压,缩短肠鸣音和排气恢复时间、肛门首次排便时间和平均住院时间。

Objective:To observe the nursing effect of external application of raw radix et rhizome rhei combined with natrii sulfas for acute pancreatitis complicated with abdominal distension. Methods:A total of 89 cases of patients with acute pancreatitis were divided into two groups according to the random number table method,44 and 45 cases in each group respectively. The control group was given routine symptomatic treatment,and the observation group was additionally treated with external application of raw radix et rhizome rhei combined with natrii sulfas based on the treatment of the control group.Before and after intervention, the score of abdominal distension, and the changes in intra-abdominal pressure were compared between the two groups. After intervention,the remission time of abdominal pain,the recovery time of intestinal sound and exhaust, the time of first defecation, and the average hospitalization time were compared between the two groups. Results:On the 1 st,7 thand 14 thdays of treatment,the scores of abdominal distension in the observation group were lower than those in the control group,the difference being significant(P<0.05). On the 1 st,7 thand 14 thdays of treatment,the intra-abdominal pressure in the observation group was lower than that in the control group, the difference being significant(P<0.05). After intervention, the remission time of abdominal pain, the recovery time of intestinal sound and exhaust,the time of first defecation in the observation group were earlier than those in the control group,and the average hospitalization time in the observation group was shorter,the difference being significant(P<0.05). Conclusion:For patients with acute pancreatitis, the external application of raw radix et rhizome rhei combined with natrii sulfas and nursing can effectively improve abdominal distension and pain,reduce intra-abdominal pressure,promote the first defecation and the recovery of intestinal sound and exhaust,and shorten average hospitalization time.